NPI | 1477151546 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA CLINE C.E.O. 602-274-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 174200000X Meals |
251B00000X Case Management | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-10-12 |
Last Update Date | 2024-08-27 |